3734 Windtree Dr - Inspection FormSump pumps
ii
'.,...
7)62
,� <�� 3
�
t ali
3�
Foundation drains
Roof drains
1 Citoaa
Residential Sanitary Sewer Service
Compliance Inspection
Date' 1
/
Name J �" , e e - . s„a /'1 Disk #
PID Number
Poor Pipe joints
Mineral Deposits
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
g am
Time _ • p
1
House Number f J Street Name
r pliance
No foundation drain connection
Total
Alternative Mailing Address Phone
I .> r. n
'z'i C' Owner /Occup Signature COT
For information call 651.470.2788
Sag /Pipe Deflection
Damaged Pipe
Transition
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks 1.
Entered S L. at --� , -'
Roots
Length of Service: -- Final Cleanout: 1 ,.
Number Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
•
Record Number
Time
j
•
Inspector Signature
Obstruction
Unable to push past
feet,
a
PTA
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes f '
. 1 -
g
Pink Copy: SEH
▪ •